Gastric secretion is produced by epithelial cells in the stomach's gastric glands. These cells include parietal cells, chief cells, mucus-secreting cells, and hormone-producing cells. Parietal cells secrete hydrochloric acid and intrinsic factor. Chief cells secrete pepsinogen, which is converted to the protease pepsin by hydrochloric acid. Mucus-secreting cells produce a bicarbonate-rich mucus that protects the stomach lining. Hormone-producing cells secrete gastrin, somatostatin, and histamine, which help regulate acid secretion.
23rd December 2010 at General Lecture Theatre, Dr Chirantan Mandal, Dr Shinjan patra Dr Ritasman Baisya Dr Ananya Presided by Dr Arnab Sengupta (Physiology Dept Medical College Kolkata)
The GI tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anus. The hollow organs that make up the GI tract are the mouth, esophagus, stomach, small intestine, large intestine, and anus. The liver, pancreas, and gallbladder are the solid organs of the digestive system.
Debridement is an important component of the wound bed preparation (WBP) management Model.
Cause of the wound and patient-centered concerns, debridement is a necessary step in local wound care.
Debridement is the removal of necrotic tissue, exudate, bacteria, and metabolic waste from a wound in order to improve or facilitate the healing process
Chest pain or discomfort
Common presenting symptom of cardiovascular disease
May be cardiac or noncardiac in origin.
Cardiac – angina, MI, pericarditis, mitral valve prolapse, dissecting aortic aneurysm
Non cardiac – anemia (physical exertion), cervical disc disease, anxiety, trigger points etc
Follows pattern of ulnar nerve distribution (heart supplied by C3-T4 spinal segments)
Radiating pain to neck, jaw, upper trapezius, upper back, shoulder or arms (commonly left
Biologist & gerontologist used concept of senescence to explain biological aging
Senescence or normal aging refers to a gradual, time related to biological process that takes places as degenerative processes overtake regenerative or growth processes.
or
senescence: a change in the behavior of an organism with age leading to a decreased power of survival and adjustment
Immunology plays a very important role in homeostasis but it possesses two edge sword actions. Either hypo or hyperimmunity both can cause systemic diseases which will manifest in the oral cavity.
Immunomodulators are the agents which modulate the body immunity according to
the need.
There are natural and synthetic immunomodulatory agents .
Endocrinology is a specialty of medicine; some would say a sub-specialty of internal medicine, which deals with the diagnosis and treatment of diseases related to hormones. Endocrinology covers such human functions as the coordination of metabolism, respiration, reproduction, sensory perception, and movement
non-skeletal mesodermal tissues: adipose tissue, fibrous tissue, muscle, blood vessels and peripheral nerves (despite neuroectodermal origin)
benign, malignant and intermediate (low-grade malignant – locally aggressive, can recur, no metastatic potential)
originate from primitive mesenchymal stem cells
classification according to differentiation lines (e.g. liposarcoma is not a tumor arising from adipose tissue but exhibiting lipoblastic differentiation)
Down syndrome (DS or DNS), also known as trisomy 21, is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is typically associated with physical growth delays, characteristic facial features and mild to moderate intellectual disability. The average IQ of a young adult with Down syndrome is 50, equivalent to the mental ability of an 8- or 9-year-old child, but this can vary widely.
Facial pain is pain felt in any part of the face, including the mouth and eyes.
It’s normally due to an injury or a headache, occasionally facial pain may also be due to neurological or vascular causes, but equally well may be dental in origin.
The lymphatic system is responsible for the production, transport and filtration of lymph fluid throughout the body. In addition to its important circulatory functions, the lymphatic system also has important immunological functions
The pressure of the blood in the circulatory system, often measured for diagnosis since it is closely related to the force and rate of the heartbeat and the diameter and elasticity of the arterial walls.
Eating a diet high in vegetables, fruits, whole grains, and legumes.
Choosing lean, low-fat sources of protein.
Limiting sweets, soft drinks, and foods with added sugar.
Including proteins, carbohydrates, and a little good fat in all meals and snacks.
Vectors are organisms that transmit pathogens and parasites from one infected person (or animal) to another, causing serious diseases in human populations
She has a wonderful personality.”“He has no personality.”“He has a charming personality.”“We seem to have a personality conflict.”“It’s just her personality.”“She has her mother’s personality.”“He’s a real personality.”
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
2. ▪ Gastric secretion is a colorless, watery, acidic,
digestive fluid produced in the stomach .
Physical properties;
It is a watery fluid, that has a pale yellow colour , pH is 1-3 ,
the volume secreted per day is 2-3 L .
The stomach is famous for its secretion of acid, but acid is
only one of four major secretory products of the gastric
epithelium, all of which are important either to the digestive
process or to control of gastric function.
Chemical composition; It is 97-99% water , it contains
inorganic salts ,and organic components that include ,mucin,
digestive enzymes , hormones
3. The gastric secretion is produced by the epithelium cells of
the gastric glands .
Goblet cells or mucus cells:are mucous cells, which
cover the entire luminal surface and extend down into
the glands as "mucous neck cells".
These cells secrete a bicarbonate-rich mucus that coats
and lubricates the gastric surface, and serves an
important role in protecting the epithelium from
hydrochloric acid and pepsin and other chemical
insults.
.
5. Parietal cells:
They secrete HCl into the stomach lumen where it
establishes an extremely acidic environment.This
acid is important for activation of pepsinogen and
inactivation of ingested microorganisms such as
bacteria.
It also secrets the intrinsic factor, a glycoprotein
secreted by parietal cells that is necessary for
intestinal absorption of vitamin B12.
6. Chief cells:
It secrets pepsinogen(zymogen). Once secreted,
pepsinogen is activated by stomach acid into the
active protease pepsin, which is largely responsible
for the stomach's ability to initiate digestion of
proteins.
In children, chief cells also secrete rennin a protease
that helps coagulate milk allowing it to be retained
more longer in the stomach
7. 7
Synthesize and
secrete the HCl acid
responsible for the
acidic pH in the
gastric lumen.
Synthesize and
secrete the protease
precursor known as
pepsinogen.
Produce alkaline
mucus that covers
mucosa layer
Exocrine gland cells of gastric pits
8.
9. The epithelium cells also produce important
hormones gastrin a peptide that is important in
control of acid secretion and gastric motility and
somatostatin.
G Cells: Gastrin (hormone) ---> HCl secretion
D Cells: Somatostatin (antrum)
Enterochromaffin-like cell: Histamine
11. Makes gastric juice
very acidic.
Denatures
ingested proteins
(alter tertiary
structure) so
become more
digestible.
Activates
pepsinogen to
pepsin.
Pepsin is more
active at pH of 2.0.
Insert fig. 18.9
13. Parietal cells secrete H+ into gastric lumen by
primary active transport, through H+/ K+ ATPase
pump.
Parietal cell’s basolateral membrane takes in Cl-
against its electrochemical gradient, by coupling its
transport with HC03
-.
14.
15.
16. Gastric acid secretion can be divided into three phases:
Cephalic phase:
Mediated by the CNS and triggered by smelling, chewing or even the
thought of food
Mediated by the vagus and accounts for 10-30% of the acid secreted
Gastric phase:
Triggered by the presence of food in the stomach (both chemical and
mechanical sensing are involved)
Accounts for 70-90% of the acid secretion
Intestinal phase:
Presence of chyme, most probably amino acids in the intestine
Triggers approximately 5% of the gastric acid secretion
17. 1. HCl
converts pepsinogen to pepsin for chemical digestion
provides optimal pH environment for pepsin
destroys some bacteria
stimulates the small intestinal mucosa to release secretin
and CCK
promotes the absorption of Ca2+ and Fe2+ in small intestine
17
18. 2. Pepsinogen (precursor of pepsin)
digestion of proteins
3. Mucus
forms a protective barrier: Mucus-bicarbonate barrier
4. Intrinsic factor
combines with vitamin B12 to make it absorbable
18
19. Gastric acid secretion is controlled by three mechanisms:
Neurocrine (by the nerves).
Endocrine (hormonal-gastrin)
Paracrine (histamine) in contrast to true endocrines these
hormones are not released into the bloodstream but into the
surrounding tissues and act in the immediate vicinity, e.g.
intestinal mucosal hormones.
19
20. Stimulated by sight, smell, and taste of food.
Activation of vagus:
Stimulates chief cells to secrete pepsinogen.
Directly stimulates G cells to secrete gastrin.
Directly stimulates ECL cells to secrete
histamine.
Stimulates parietal cells to secrete HCl.
Continues into the 1st 30 min. of a meal.
21. Arrival of food in stomach stimulates the gastric phase.
Gastric secretion stimulated by:
Distension
Chemical nature of chyme (amino acids and short
polypeptides)
▪ Stimulates G cells to secrete gastrin.
▪ Stimulates chief cells to secrete pepsinogen.
▪ Stimulates ECL cells to secrete histamine.
▪ Histamine stimulates secretin of HCl.
23. Secretion of HCl is also regulated by a negative feedback
effect:
HCl secretion decreases if pH < 2.5.
At pH of 1.0, gastrin secretion ceases.
▪ D cells stimulate secretion of somatostatin.